The epidemiology of sports-related fractures in adolescents

Wood, Alexander; Robertson, Greg; Rennie, Louise; Caesar, Ben; Court-Brown, Charles M.

doi:10.1016/j.injury.2010.04.008

Cited by 57 publications

(47 citation statements)

References 12 publications

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“…In another study, 23% of all sports fractures occurred in the distal part of the radius. 22 However, Mathison and Agrawal attest that this increase may be due to an improved access to care and better detection of fractures. 21 …”

Section: Pediatric Incidencementioning

confidence: 99%

The Epidemiology of Distal Radius Fractures

2012

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Distal radius fractures are one of the most common types of fractures, accounting for around 25% of fractures in the pediatric population and up to 18% of all fractures in the elderly age group. Although the pediatric and elderly populations are at the greatest risk for this injury, distal radius fractures still have a significant impact on the health and well-being of young adults. Data from the past 40 years has documented a trend towards an overall increase in the prevalence of this injury. For the pediatric population, this increase can likely be attributed to a surge in sports related activities. The growth of the elderly population and a rise in the number of active elderly are directly responsible for the increase seen in this age group. Understanding the epidemiology of this fracture is an important step towards the improvement of the treatment strategies and preventative measures which target this debilitating injury.

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Section: Pediatric Incidencementioning

confidence: 99%

The Epidemiology of Distal Radius Fractures

2012

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“…18, 27 , Sports-related fracture data have been reported for girls' field hockey, 13,16,28 girls' gymnastics, 21 boys' ice hockey, 28 boys' and girls' lacrosse, 7,8,28 and cheerleading, 19,20 but these studies did not focus exclusively on fractures, were not limited to high school athletes, or were convenience samples from emergency department data with limited exposure information. The epidemiology of sports-related fractures among adolescents 26 and sports-related hand fractures 3 has been described for a UK population, but these provided incidence data and did not include sports most commonly played in US high schools. One of the most detailed studies reporting the epidemiology of high school sports injuries was performed 10 years ago and was limited in geographic area.…”

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confidence: 99%

Epidemiology of United States High School Sports-Related Fractures, 2008-09 to 2010-11

et al. 2012

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Background High school athletes sustain millions of injuries annually, many of which are fractures. Fractures can severely affect athletes physically, emotionally, and financially and should be targeted with focused prevention methods. Hypothesis Patterns and primary mechanisms of fractures differ by sport and gender. Study Design Descriptive epidemiology study. Methods High school sports-related injury data were collected from academic years 2008-09 to 2010-11 for 18 sports and from 2009-10 to 2010-11 for 2 additional sports. We used linear regression to describe annual fracture rate trends and calculated fractures rates, rate ratios (RRs), and injury proportion ratios (IPRs). Results From 2008-09 to 2010-11, certified athletic trainers reported a total of 21,251 injuries during 11,544,455 athlete exposures (AEs), of which 2103 (9.9%) were fractures, with an overall rate of 1.82 fractures per 10,000 AEs. Fracture rates were highest in football (4.37 per 10,000 AE), boys' ice hockey (3.08), and boys' lacrosse (2.59). Boys sustained 79.1% of all fractures, and the overall rates of fractures were greater in boys' sports than in girls' sports for competition (RR, 2.82; 95% CI, 2.45-3.24) and practice (RR, 2.43; 95% CI, 2.07-2.86). The most commonly fractured body sites were the hand/finger (32.1%), lower leg (10.1%), and wrist (9.5%). Overall, 17.2% of fractures required surgery, which was higher than for all other injuries combined (IPR, 3.14; 95% CI, 2.81-3.52). The most common mechanism of fracture involved contact with another player (45.5%). Using linear regression, we found the proportion of all injuries that were fractures was inversely correlated with the athlete's age (P = .02) but was not correlated with the athletes' age- and gender-adjusted body mass index. Conclusion Fractures are a significant problem for high school athletes. Targeted preventive interventions should be implemented to reduce the burdens these injuries cause the athletes.

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“…In the older adult, osteoporosis and poor postural stability are associated with these fractures after falls onto an outstretched hand [1,[6][7][8]9•]. Distal radius fracture in young patients usually occurs in the setting of play or sports and accounts for 23% of all sports-related fractures in adolescents [10].…”

Section: Introductionmentioning

confidence: 99%

Distal radius fractures in the athlete

Beleckas

Calfee

2017

Curr Rev Musculoskelet Med

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Purpose of Review Distal radius fractures are one of the most common upper extremity fractures. Athletes with distal radius fractures are treated according to the same principles as nonathletes but present several unique considerations. At all levels of sport, injured athletes desire to return to play as rapidly as possible. Recent Findings Earlier operative fixation may allow an athlete to return to play more quickly. Volar locking plates are most commonly used for operative treatment of distal radius fractures due to their stability and low incidence of complications. Summary Although the majority of distal radius fractures in athletes are treated non-operatively, operative intervention is offered when required to restore and maintain acceptable skeletal alignment. Return to sport is individualized guided by fracture stability, athlete age, and wrist-specific demands for competition.

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The epidemiology of sports-related fractures in adolescents

Cited by 57 publications

References 12 publications

The Epidemiology of Distal Radius Fractures

The Epidemiology of Distal Radius Fractures

Epidemiology of United States High School Sports-Related Fractures, 2008-09 to 2010-11

Distal radius fractures in the athlete

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